Sinexo

Sinexo

EDITIONS CPSH
Virtual Examiner

Virtual Examiner

PCG Software
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About

Sinexo is a claims management software for organisations that handle insurance and damage claims daily: local authorities, social and private landlords, property managers, fleet managers, insurance brokers and legal departments. It covers the full lifecycle of a claim, from first notification to archiving, in a single screen: claim details, contacts, timestamped activity log, categorised documents and financial items (quotes, invoices, payments, settlements). Fields, claim types, statuses and letter templates are configured around your existing procedures and vocabulary, not the other way round. Emails are sent from the claim using pre-filled templates, with delivery tracking, and replies come back into the timeline automatically. Missing documents are requested through a secure upload link, no account needed. Granular per-user permissions, encrypted personal data and documents, IP filtering, daily backups on French servers, CSV and archive export.

About

Virtual Examiner®, PCG Software’s flagship product, monitors the internal claims process of an organization to trend provider data for fraudulent and abusive billing patterns, and maximizes financial recoveries. PCG Software’s Virtual Examiner® allows healthcare organizations to enhance their current claims adjudication system with more than 31 million edits per claim. The software solution monitors an organization’s internal claims process to identify unclean claims and reduce payment for improper or erroneous coding to conserve premium dollars. Virtual Examiner® is more than a claims review solution with a focus on code combinations. It is a cost containment solution that evaluates the claim not only for abusive billing patterns but also identifies those claims that may involve third-party liability/coordination of benefits, case management opportunities, physician billing education and many other cost recovery reports.

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Audience

Local authorities and public sector, social and private landlords, property and building managers, fleet managers, insurance brokers and agents, legal departments, law firms, transport and logistics companies

Audience

Healthcare organizations that want to enhance their current claims adjudication system

Support

Phone Support
24/7 Live Support
Online

Support

Phone Support
24/7 Live Support
Online

API

Offers API

API

Offers API

Screenshots and Videos

Screenshots and Videos

Pricing

79 EUR/month
Free Version
Free Trial

Pricing

No information available.
Free Version
Free Trial

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Training

Documentation
Webinars
Live Online
In Person

Training

Documentation
Webinars
Live Online
In Person

Company Information

EDITIONS CPSH
Founded: 2017
France
www.sinexo.fr

Company Information

PCG Software
Founded: 1984
United States
pcgsoftware.com/product-offerings/virtual-examiner/

Alternatives

Claims Software

Claims Software

Claim Ruler

Alternatives

iVEcoder

iVEcoder

PCG Software
Artsyl ClaimAction

Artsyl ClaimAction

Artsyl Technologies
CoreLogic Claims Connect

CoreLogic Claims Connect

CoreLogic Australia
ClaimBook

ClaimBook

Attune Technologies
ediLive!

ediLive!

Texas Medical Systems

Categories

Categories

Claims Processing Features

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

Claims Processing Features

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

Medical Billing Features

Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice

Integrations

Microsoft Entra ID

Integrations

Microsoft Entra ID
Claim Sinexo and update features and information
Claim Sinexo and update features and information
Claim Virtual Examiner and update features and information
Claim Virtual Examiner and update features and information